Effects of National Health Insurance on Precautionary Saving: New Evidence from Taiwan

Kuan, Chung‐Ming; Chen, Chien-Liang

doi:10.2139/ssrn.1555820

Cited by 9 publications

(8 citation statements)

References 20 publications

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“…Most of the households in Mainland China still weakly resist expensive catastrophic or chronic diseases [38]; consequently, they must increase their savings as a precaution for the future burden of medical bills [39]. In addition, findings from Kuan and Chen suggested that the prohibitive expenditure on healthcare has severely limited family consumption in other daily activities [40].…”

Section: Critical Challenges In Chmmentioning

confidence: 99%

Evaluating the Intention and Behaviour of Private Sector Participation in Healthcare Service Delivery via Public-Private Partnership: Evidence from China

Yang

Song

Yao

et al. 2020

Journal of Healthcare Engineering

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Private sector participation in the healthcare market via public-private partnership (PPP) could be considered an available approach to narrow down the medical resource gap and improve the operational efficiency of healthcare facilities. Accordingly, this study aims to examine the influence and relative importance among critical factors for the intention and behaviour of the private sector towards participation in Chinese healthcare market (CHM) via PPP. We defined five hypotheses from previous literature and built a theoretical model based on modified theory of planned behaviour. Then, covariance-based structural equation modelling was applied to analyse the questionnaires provided by 248 respondents from construction companies, real estate developers, pharmaceutical companies, private hospitals, asset management companies, and medical industry property investment companies in China. Results indicated that attitude towards behaviour (β = 0.466, P<0.001), subjective norm (β = 0.167, P<0.05), perceived behavioural control (β = 0.231, P<0.01), and facilitating conditions (β = 0.305, P<0.001) are positively significant to behavioural intention; behavioural intention also shows a strong linkage with behaviour (β = 0.931, P<0.001). Findings provide reference for governments and public authorities to exert additional efforts in implementing appropriate measures that will stimulate the private sector’s motivation to participate in CHM via PPP.

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Section: Critical Challenges In Chmmentioning

confidence: 99%

Evaluating the Intention and Behaviour of Private Sector Participation in Healthcare Service Delivery via Public-Private Partnership: Evidence from China

Yang

Song

Yao

et al. 2020

Journal of Healthcare Engineering

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“…() show that the introduction of National Health Insurance (NHI) in Taiwan decreased households’ savings by 1% to 10%, depending on the econometric technique used. Also, using Taiwanese data, Kuan and Chen () find that the NHI has a negative effect on household's savings. They also show that the NHI has greater impact on the households with higher income and those with retiring head, mainly on high savers in these groups (high savers tend to have a greater reduction in savings after the national insurance is enforced).…”

Section: The Empirical Evidence On Precautionary Savingsmentioning

confidence: 99%

Precautionary Saving: A Review of the Empirical Literature

Lugilde

Bande

Riveiro

2018

Journal of Economic Surveys

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Standard macroeconomic models show that uncertainty plays a significant role in consumption and saving decisions under rather mild conditions, namely the convexity of the marginal utility of consumption. Increased uncertainty generates a positive extra saving, the socalled 'precautionary saving'. Although this hypothesis has been tested by a large number of authors, both at macro and micro level, the empirical results are not conclusive, and the main conclusion than can be drawn is that there is neither consensus on the intensity of that motive for saving, nor on the most appropriate measure of uncertainty. This paper provides a comprehensive review of the empirical literature discussing the main controversial issues and the different approaches followed by the studies addressing empirically the test of precautionary saving.

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“…When people have to worry about expensive medical bills, they are less likely to spend money on other things (Freeman and Boynton, ; Ma and Wang, ). Experience in Taiwan, where culture and tradition resemble that of mainland China, demonstrated that households significantly reduced their savings and increased consumption when universal healthcare was available (Kuan, ). The universal health insurance, introduced in 1995, immediately reduced the level of household savings by an average of 8.6–13.7% in Taiwan (Chou et al ., ), and the crowding‐out effects remained detectable years after (Kuan, ).…”

Section: Introductionmentioning

confidence: 99%

Global implications of China's healthcare reform

Yan

Tang

Zhang

2014

Health Planning & Management

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The ongoing healthcare reform in China has a powerful spillover effect beyond the health sector and the borders of China. A successful completion of the Chinese reform will offer a new model for social justice development, shift the global economy toward sustainability and create a new hub for science and technology in medical and health science. However, reforming the healthcare system in the most populated country is a daunting task. China will not live up to its promise, and all the potentials may end with hype not hope if coherent national strategies are not constructed and state-of-the-art navigation is not achieved with staggering domestic and global challenges. The cost of failure will be immensely high, socioeconomic costs for Chinese and an opportunity cost for the world as a whole. A full appreciation of the global implications of China's healthcare reform is crucial in keeping China receptive toward good practices evidence-approved elsewhere and open minded to fulfill its international obligations. More critically, the appreciation yields constructive engagements from global community toward a joint development and global prosperity. The current report provides a multiple disciplinary assessment on the global implications of the healthcare reform in China.

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Effects of National Health Insurance on Precautionary Saving: New Evidence from Taiwan

Cited by 9 publications

References 20 publications

Evaluating the Intention and Behaviour of Private Sector Participation in Healthcare Service Delivery via Public-Private Partnership: Evidence from China

Evaluating the Intention and Behaviour of Private Sector Participation in Healthcare Service Delivery via Public-Private Partnership: Evidence from China

Precautionary Saving: A Review of the Empirical Literature

Global implications of China's healthcare reform

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